84-1621 – Department; duties.
84-1621. Department; duties. For the pilot program, the department shall provide enrollees at least two different direct primary care health plans including a high-deductible option and a low-deductible option for health care coverage outside of primary care. The department may include wellness incentives in the direct primary care health plans. Source Laws 2018, LB1119, § […]
84-1622 – Participation.
84-1622. Participation. A state employee may participate at open enrollment in the pilot program on a first-come, first-served basis dependent on participation by participating providers and limitations on enrollees served per participating providers. Source Laws 2018, LB1119, § 5.
84-1623 – Plan administrator; duties.
84-1623. Plan administrator; duties. Any plan administrator for health care plans offered under the Nebraska State Insurance Program shall cooperate with the implementation of the pilot program and shall share real-time claims data for state employees participating in the pilot program with participating providers. Source Laws 2018, LB1119, § 6.
84-1624 – Direct provider; participation requirements; monthly payment.
84-1624. Direct provider; participation requirements; monthly payment. (1) To qualify for participation in the pilot program, a direct provider shall: (a) Provide primary care to an enrollee; (b) Coordinate care across all care settings; (c) Oversee transitions in care between settings; and (d) Minimize the risk of gaps in care. (2) The participating providers shall […]
84-1625 – Care quality and patient satisfaction measurements.
84-1625. Care quality and patient satisfaction measurements. A participating provider shall continuously monitor care quality in accordance with a standardized set of care quality and patient satisfaction measurements. Such care quality measurements shall include, but not be limited to, the following: (1) Patient engagement measurement, including, but not limited to, the percentage of enrollees who […]
84-1626 – Report.
84-1626. Report. Beginning in fiscal year 2021-22, the department shall provide a report to the Governor and the Legislature by September 1 of each year. The report shall evaluate the clinical and financial performance of the pilot program. The report shall be submitted to the Legislature electronically. Source Laws 2018, LB1119, § 9.
84-1627 – Rules and regulations.
84-1627. Rules and regulations. The department may adopt and promulgate rules and regulations as necessary to implement the Direct Primary Care Pilot Program Act. Source Laws 2018, LB1119, § 10.
84-1615 – Coverage; when provided.
84-1615. Coverage; when provided. Coverages under sections 84-1601 to 84-1615 shall be provided commencing January 1, 1974. Source Laws 1973, LB 516, § 13; R.S.1943, (1988), § 44-1632.
84-1616 – Health and Life Benefit Administration Cash Fund; created; use; investment.
84-1616. Health and Life Benefit Administration Cash Fund; created; use; investment. The Health and Life Benefit Administration Cash Fund is created. The fund shall consist of payments made by individuals eligible for program benefits, transfers from the State Employees Insurance Fund for administrative and operation expenses as authorized by the Legislature, and interest earnings as […]
84-1617 – Personnel division of the Department of Administrative Services; report.
84-1617. Personnel division of the Department of Administrative Services; report. The personnel division of the Department of Administrative Services shall provide electronically an annual report to the Clerk of the Legislature. The report shall include the following information based on the prior fiscal year: (1) The number of temporary employees employed by the state; (2) […]